- Home
- »
- Medical Devices
- »
-
Ambulatory Surgery Centers Market Report, 2026-2033GVR Report cover
Ambulatory Surgery Centers Market (2026 - 2033)
Size, Share & Trends Analysis Report By Specialty (Orthopedics, Otolaryngology, Gastroenterology, Plastic Surgery), By Ownership (Physician Owned, Hospital Owned), By Type, By Services, By Region, And Segment Forecasts
Market Size, 2025
$151.5BMarket Estimate, 2026
$160.7BMarket Forecast, 2033
$249.3BCAGR, 2026–2033
6.5%Ambulatory Surgery Centers Market Summary
The global ambulatory surgery centers market size was valued at USD 151.5 billion in 2025 and is projected to grow from USD 160.7 billion in 2026 to USD 249.3 billion by 2033, growing at a CAGR of 6.5% from 2026 to 2033. North America dominated the market, accounting for the largest revenue share of 41.2% in 2025. The market comprises healthcare facilities that provide surgical procedures to patients who generally do not require hospital admission or an overnight stay.
Source: Grand View Research, IR Documents, Primary Interviews, Paid DatabasesTo learn more about this report,
Download Free Sample Report Key Market Trends & Insights
- By specialty: The orthopedics segment held the largest revenue share in 2025.
- By ownership: The physician-owned segment accounted for the largest market revenue share of 62.1% in 2025.
- By type: The single-specialty segment accounted for the largest market revenue share of 61.2% in 2025.
- By services: The treatment segment held the largest market revenue share in 2025.
Regional Highlights
- Largest regional market: North America (41.2% revenue share, 2025)
- Fastest-growing regional market: Asia Pacific (highest CAGR, 2026-2033)
- By country: The U.S. held the largest market share in 2025
Market Size & Forecast
- Market size in 2025: USD 151.5 Billion
- Estimated market size in 2026: USD 160.7 Billion
- Projected market size by 2033: USD 249.3 Billion
- CAGR (2025-2033): 6.5%
Three ways to get this report
Buy it, customize it, or ask a question.Ask an Analyst
A direct answer, usually in 1 working day
- AccessReport author, directly
- Reply timeWithin 1 working day
- No sales callDirect answer only
- FormatEmail reply
- CostFree, no cost
Get the Full Report
What the study covers
- FormatsPDF · Excel · Dashboard
- Timeline2026–2033 annual, 2025 base
- Coverage20+ countries, 5 regions
- Companies10+ key players profiled
Customize the Report
20% free customization
- IncludeCountries, segments, points
- TailorTo your product definition
- ExtendDeeper competitor detail
- OrA fully bespoke study
- Turnaround5–10 working days
To learn more about this report, Download Free Sample Report
In the U.S., CMS defines an ASC as a distinct facility operating primarily to provide surgical services to patients who do not require hospitalization, with expected stays generally limited to 24 hours. The market is supported by the increasing shift of surgical procedures from hospitals to outpatient settings, driven by demand for cost-efficient care, shorter recovery periods, improvements in minimally invasive techniques, advances in anesthesia, and growing patient preference for same-day treatment. ASCs increasingly accommodate procedures across specialties such as orthopedics, ophthalmology, gastroenterology, pain management, otolaryngology, gynecology, urology, and plastic surgery.Market Dynamics
The growing preference for outpatient care and the increasing adoption of high-acuity procedures are transforming the ambulatory surgery center landscape. Supportive reimbursement policies and expanding Medicare coverage are further accelerating the shift of surgeries from hospitals to outpatient settings. However, stringent regulatory requirements, workforce shortages, and limitations in managing highly complex cases continue to challenge market growth. Despite these constraints, rising investments in multi-specialty ASCs, strategic partnerships, and the integration of AI-driven technologies are expected to create significant opportunities for market expansion during the forecast period.
ASCs offer surgical procedures at significantly lower costs compared to traditional hospital settings, primarily due to their streamlined operations, reduced administrative overhead, and shorter patient stays. According to an American Academy of Orthopedic Surgeons study published in August 2024, ASCs resulted in approximately 35 percent savings in total costs, 41 percent savings in facility fees, 36 percent savings in Medicare payments, and 28 percent savings in patient payments. This cost advantage benefits both payers and patients by lowering out-of-pocket expenses and reducing the overall burden on the healthcare system. For instance, patient preferences for procedures such as cataract surgeries, colonoscopies, and orthopedic arthroscopies are increasingly shifting towards ASCs due to their lower facility fees and efficient scheduling.
According to a national study comparing ambulatory surgery centers (ASCs) with hospital outpatient departments, ASC-based procedures demonstrate shorter operating-room, recovery, and total facility times, supporting greater operational efficiency in the outpatient setting. Moreover, the rise in value-based care and bundled payment models further incentivizes payers to favor ASCs over hospitals for elective and same-day surgeries. As healthcare systems and insurers continue to emphasize cost efficiency and accessibility, the affordability and operational advantages of ASCs are expected to remain a key market growth driver.
Case Study Published by NCBI in October 2024: Ambulatory Surgery Centers Deliver Significant Cost Savings While Maintaining High-Quality Clinical Outcomes
Background
Healthcare systems globally are increasingly focusing on delivering high-quality care at lower costs while improving operational efficiency. This shift has accelerated the adoption of ASCs, which provide same-day surgical procedures without requiring overnight hospitalization. Compared with traditional hospital outpatient departments (HOPDs), ASCs are designed to streamline surgical workflows, reduce facility costs, and improve patient convenience. As the demand for minimally invasive procedures continues to grow, ASCs have emerged as an attractive alternative for both healthcare providers and payers.
Study Overview
The retrospective study analyzed 771 patients who underwent one- or two-level outpatient lumbar laminectomy between 2019 and 2023. Of these patients, 417 underwent surgery at an Ambulatory Surgery Center (ASC), while 354 received treatment at a hospital outpatient department. Researchers compared surgical costs, postoperative healthcare utilization, complication rates, patient-reported outcomes, and overall one-year episode-of-care costs. In addition, a formal cost-effectiveness analysis was conducted using Quality-Adjusted Life Years (QALYs) to determine the value generated by each care setting.
Key Findings
- The study found that ASCs achieved substantially lower healthcare costs while maintaining clinical outcomes comparable to hospital outpatient departments.
- The average initial surgical cost in ASCs was USD 4,529, compared with USD 8,060 for hospital outpatient procedures, representing approximately a 44% reduction in surgical expenses. The cost advantage was primarily driven by lower facility fees and more efficient resource utilization within the ASC setting.
- When evaluating the complete one-year treatment episode, the economic benefits became even more evident. Patients treated in ASCs incurred an average one-year episode-of-care cost of USD 5,662, whereas hospital outpatient procedures averaged USD 10,229, resulting in nearly 45% lower total treatment costs.
Importantly, these savings were achieved without compromising patient outcomes. The study reported no statistically significant differences between ASCs and hospitals in:
- Emergency department visits within 90 days after surgery
- Hospital readmission rates
- Reoperation rates
- Postoperative complications
- Follow-up clinical visits
- Overall patient recovery outcomes
These findings demonstrate that appropriately selected patients safely undergo outpatient spinal procedures in ASCs and receive the same quality of care as in hospital outpatient departments.
Cost-Effectiveness Analysis
Beyond direct cost comparisons, the researchers evaluated the economic value of each treatment setting using Quality-Adjusted Life Years (QALYs), a widely accepted metric that combines survival and quality of life into a single measure.
Patients treated in ASCs experienced quality-of-life improvements comparable to those treated in hospitals. However, because the overall treatment costs were substantially lower, ASCs generated significantly greater economic value.
The study reported:
- ASC: USD 64,873 per QALY gained
- Hospital Outpatient Department: USD 152,630 per QALY gained
These findings indicate that ASC-based lumbar decompression surgery was more than twice as cost-effective as hospital outpatient surgery. The superior value was primarily attributed to lower facility charges, with equivalent clinical effectiveness.
Factors Driving ASC Cost Savings
The study identified several operational factors responsible for the improved economic performance of ambulatory surgery centers:
- Lower facility and infrastructure costs compared with hospitals
- Standardized surgical workflows that improve efficiency
- Reduced administrative and operational overhead
- Same-day discharge, eliminating inpatient accommodation costs
- Optimized utilization of operating rooms and clinical staff
- Faster patient turnover, increasing procedural capacity
Collectively, these operational efficiencies enable ASCs to deliver high-quality surgical care at significantly lower costs.
Implications for the Ambulatory Surgery Center Market
The findings reinforce the growing role of ASCs as a cost-efficient alternative for outpatient surgical procedures. As healthcare systems continue to prioritize value-based care and cost containment, ASCs are expected to capture a larger share of elective and minimally invasive surgeries.
For healthcare providers, ASCs improve operational efficiency while expanding surgical capacity. For insurers and government payers, the lower cost structure offers an opportunity to reduce overall healthcare expenditure without compromising patient outcomes. Patients also benefit through shorter waiting times, reduced hospital exposure, greater convenience, and faster recovery in an outpatient setting.
Consequently, growing clinical evidence supporting ASC safety and cost-effectiveness is expected to accelerate investment in ambulatory surgical infrastructure, encourage reimbursement policies that favor outpatient care, and drive sustained growth in the global ambulatory surgery center market.
Conclusion
The 2025 Global Spine Journal study provides compelling evidence that ambulatory surgery centers represent a high-value healthcare delivery model. By reducing one-year treatment costs by nearly 45% while maintaining comparable safety, complication rates, and quality-of-life outcomes, ASCs demonstrate a clear economic advantage over traditional hospital outpatient departments.
As healthcare providers, insurers, and policymakers continue to emphasize value-based healthcare, ASCs are well-positioned to become the preferred setting for an expanding range of outpatient surgical procedures. Their ability to combine operational efficiency, lower treatment costs, and high-quality clinical outcomes is projected to remain a key driver of long-term market growth.
The growing shift of appropriate surgical procedures from hospital inpatient settings to ambulatory surgery centers is a major driver of the ASC market. Advances in minimally invasive surgical techniques, anesthesia, pain management, and postoperative monitoring are allowing an increasing range of procedures to be performed safely without overnight hospitalization. ASCs provide a lower-cost and more convenient alternative to inpatient care, encouraging physicians, payers, and patients to favor outpatient settings when clinically appropriate. This shift increases procedure volumes at ASCs and supports expansion of the overall market. For instance, in 2026, CMS continued to expand the range of services considered appropriate for outpatient settings, highlighting the evolving nature of medical practice and the ability to perform more procedures on an outpatient basis with shorter recovery periods.
ASCs operate under comprehensive federal and state regulations that govern facility design, patient care, staffing, quality reporting, infection prevention, and emergency preparedness. To receive Medicare reimbursement, ASCs must comply with the Centers for Medicare & Medicaid Services (CMS) Conditions for Coverage (CfCs), undergo periodic inspections, and maintain continuous compliance. Failure to meet these standards results in loss of certification or reduced reimbursement, increasing administrative and operational costs.
Key Regulatory Challenges
- Medicare certification requires ASCs to comply with CMS Conditions for Coverage, which address governance, facility infrastructure, patient safety, and clinical operations.
- Mandatory quality reporting under the ASC Quality Reporting (ASCQR) Program requires facilities to report quality measures to CMS. Failure to comply leads to reductions in Medicare reimbursement.
- Accreditation and licensing involve regular inspections by CMS-approved accrediting organizations or state agencies.
- Emergency preparedness regulations require ASCs to develop, maintain, periodically review, and test emergency preparedness plans, increasing operational complexity.
- Infection prevention and quality assurance programs are mandatory, requiring ASCs to maintain stringent infection control protocols and sanitary environments.
Market Impact
The extensive regulatory framework increases compliance costs and capital investment requirements, particularly for independent and newly established ASCs. These factors may slow facility expansion and create barriers to entry despite the growing demand for outpatient surgical services.
The increasing adoption of minimally invasive surgical techniques, advancements in anesthesia, and favorable reimbursement policies are enabling ambulatory surgery centers (ASCs) to perform a broader range of high-acuity procedures. This includes total joint replacements, cardiovascular interventions, and spine surgeries. Thus, this shift is creating significant growth opportunities for ASC operators by expanding the volume of procedures that can be safely performed in outpatient settings.
Recent regulatory developments further support this trend. In the CY 2026 proposed rule, the Centers for Medicare & Medicaid Services (CMS) proposed revising the ASC Covered Procedures List (ASC-CPL) by adding 276 new procedures and 271 additional procedures removed from the Inpatient-Only (IPO) list, significantly broadening the range of surgeries eligible for ASC reimbursement.
The growing migration of orthopedic procedures to ambulatory surgery centers further underscores this opportunity. According to a study published in the Journal of Arthroplasty in June 2025, which analyzed approximately 1.67 million Medicare total joint arthroplasty claims, the volume of procedures performed in ASCs increased by 327.1% between 2019 and 2022. During the same period, total knee arthroplasty (TKA) volumes performed in ASCs rose by 193.8%, while total hip arthroplasty (THA) volumes increased by 61.1%, following Medicare's expansion of reimbursement for these procedures. These findings highlight the increasing adoption of ASCs for complex orthopedic surgeries and demonstrate the significant growth potential for outpatient surgical facilities.
These developments are expected to accelerate the transition of complex surgical procedures from hospitals to outpatient settings, enabling ASCs to expand service offerings, improve operating room utilization, increase patient volumes, and generate higher revenue while delivering cost-effective, high-quality surgical care.
Market Characteristics
The chart below illustrates the relationship between industry concentration, industry characteristics, and key market participants. The market is moderately fragmented. Key participants compete through specialty coverage, surgical capacity, physician partnerships, geographic expansion, operating efficiency, payer relationships, advanced surgical technologies, and patient-centered outpatient care models.
The market is witnessing a high degree of innovation, driven by robotic-assisted surgery, advanced surgical imaging, minimally invasive procedures, digital operating-room technologies, and technology-enabled workflow optimization. For instance, Stryker’s ASC operating-room portfolio includes Mako SmartRobotics, 4K advanced imaging, surgical tables, power tools, surgical lighting, surgical booms, and other technologies specifically positioned for ASC environments. Mako SmartRobotics combines 3D CT-based planning with haptic technology to support robotic-arm-assisted surgery, demonstrating the increasing integration of advanced surgical technologies within outpatient surgical settings.
To learn more about this report, Download Free Sample Report The level of M&A activity is high, as healthcare systems and ambulatory platforms increasingly pursue acquisitions, physician partnerships, and de novo center development to expand their outpatient surgical networks. The market is characterized by continued consolidation among large ambulatory operators alongside physician-led partnerships and facility expansion. For instance, in June 2025, Ascension entered into an agreement to acquire AMSURG, a leading operator of ambulatory surgery centers, in a transaction that combined AMSURG’s extensive ASC network with Ascension’s healthcare system. The transaction demonstrates the continued consolidation of established ASC platforms and the strategic use of acquisitions to expand ambulatory surgical networks.
The impact of regulations is significant, as ASCs operate under Medicare payment policies, certification and quality reporting requirements, patient safety standards, and applicable healthcare regulations. For instance, in November 2025, CMS issued the CY 2026 in their Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule, updating Medicare payment policies and ASC payment rates while also refining the Ambulatory Surgical Center Quality Reporting Program. CMS stated that the policies affect approximately 6,000 ASCs, highlighting the direct influence of federal reimbursement and quality requirements on the market.
The market is experiencing high service expansion, supported by the increasing shift of appropriate surgical procedures toward outpatient settings and the development of broader ambulatory surgical networks. For instance, in June 2025, Ascension announced an agreement to acquire AMSURG, which would add more than 250 ambulatory surgery centers across 34 states to Ascension’s network and expand access to community-based outpatient surgical care across specialties, including gastroenterology, ophthalmology, and orthopedics. This expansion demonstrates the increasing scale of outpatient surgical infrastructure and supports demand for operating rooms, surgical equipment, implants, anesthesia systems, imaging technologies, and postoperative care services within ASCs.
Analyst Perspective
The market is experiencing strong growth, driven by increasing demand for cost-efficient outpatient care, rising adoption of minimally invasive surgical procedures, and growing preference for shorter hospital stays. ASCs have become an integral component of healthcare facilities and are increasingly used to perform surgical procedures across fields such as ophthalmology, orthopedics, gastroenterology, pain management, and general surgery. Growing numbers of surgeries, the development of anesthesia and surgical technologies, and investments by healthcare facilities are leading to increased market demand. Advances in robotics, patient monitoring systems, digital health technologies, and minimally invasive surgical procedures have enhanced the efficiency and feasibility of procedures. The emphasis on outpatients, effective healthcare service delivery, and surgeries enhances the competitive edge of healthcare organizations and corporations that have ASC infrastructure and surgical technologies.
Specialty Insights
The orthopedics segment accounted for the largest market revenue share of 26.4% in 2025, supported by the growing adoption of outpatient surgical settings for joint replacement, spine, sports medicine, and other musculoskeletal procedures. The growing suitability of higher-acuity orthopedic procedures for ASCs is supported by advances in minimally invasive techniques, robotics, anesthesia, and postoperative recovery protocols. For instance, in December 2025, Guthrie announced that its new Broome Orthopedic and Spine Surgery Center in Johnson City, New York, was nearing completion, with four operating rooms, 17 recovery bays, a robotic surgical system, and planned outpatient services including total joint replacements, spine surgery, and sports medicine procedures. This development demonstrates the increasing investment in dedicated orthopedic ASC infrastructure and the expansion of complex orthopedic procedures within outpatient settings.
The otolaryngology segment is expected to grow at the fastest CAGR over the forecast period due to the increasing suitability of ear, nose, throat, and sinus procedures for same-day surgical care and the growing availability of ASC-based ENT services. For instance, in December 2025, the American Academy of Otolaryngology-Head and Neck Surgery highlighted the CY 2026 CMS payment rule changes specifically affecting otolaryngology, including ASC-covered services, hypoglossal nerve stimulation, and sinus procedure codes. These policy developments are expanding the relevance of ASC reimbursement and procedure eligibility for ENT specialists and supporting greater adoption of outpatient otolaryngology procedures.
Ownership Insights
The physician-owned segment accounted for the largest market revenue share of 62.1% in 2025 due to the strong presence of physician-led surgical centers and physicians' ability to maintain greater control over clinical operations, specialty selection, scheduling, and patient-care workflows. The model remains particularly attractive for high-volume specialties where physicians align facility operations closely with their surgical practices. For instance, in November 2025, Becker’s ASC reported on the development of Trinity Surgery Center in Greenville, South Carolina, an independent, physician-owned ambulatory surgery center under construction that was planned to provide ophthalmology, ENT, orthopedic, and hand procedures. The development highlights continued physician investment in independently operated ASC facilities and the expansion of specialty-focused outpatient surgical capacity.
The hospital-owned segment is expected to grow at the fastest CAGR over the forecast period as health systems increasingly develop outpatient surgical facilities to expand access, improve surgical capacity, and provide procedures in lower-acuity settings. For instance, in May 2025, the Cleveland Clinic announced a partnership with Regent Surgical to develop ambulatory surgery centers, citing ASCs' role in expanding access to surgery and improving the efficiency of care delivery. This collaboration demonstrates the growing participation of major health systems in ASC development and supports the expansion of hospital-affiliated outpatient surgical capacity.
Type Insights
The single-specialty segment accounted for the largest market revenue share of 61.2% in 2025 due to the operational advantages of focused facilities that concentrate clinical expertise, specialized equipment, staffing, and workflows around specific surgical specialties. These centers enable streamlined scheduling, standardized surgical protocols, efficient use of specialized equipment, and focused patient-care pathways, thereby supporting higher operational efficiency and consistent quality of care. The strong presence of specialty-focused facilities across high-volume procedures such as ophthalmology, gastroenterology, orthopedics, and pain management further supports the segment's leading position in the market.
The multi-specialty segment is expected to grow at the fastest CAGR over the forecast period due to its ability to accommodate multiple surgical specialties, improve operating-room utilization, diversify patient volumes, and support broader physician participation. For instance, in April 2025, Medline announced a prime-vendor agreement with Viewmont Surgery Center, a multi-specialty ASC in North Carolina, after the center doubled its size by adding three procedure rooms to its existing three operating rooms. The center provides services across otolaryngology, orthopedics, total joints, spine, and pain management, demonstrating how multi-specialty facilities are expanding capacity across multiple high-demand surgical areas.
Services Insights
The treatment segment accounted for the largest market revenue share in 2025 and is expected to grow at the fastest CAGR over the forecast period, driven by the increasing volume and complexity of surgical procedures performed in outpatient settings. For instance, in January 2026, CMS added 80 new separately payable surgical procedures and ancillary service codes to the ASC payment system and began paying separately for 946 previously non-payable or packaged covered surgical procedures and ancillary services. The expansion of payable ASC services broadens the range of procedures that can be economically delivered in ambulatory settings, supporting treatment volumes and strengthening demand for ASC surgical infrastructure and related services.
To learn more about this report, Download Free Sample Report The diagnosis segment represents a significant growth over the forecast period, driven by services, as diagnostic and assessment services support patient selection, preoperative evaluation, surgical planning, and clinical decision-making before and during outpatient procedures. ASCs increasingly incorporate diagnostic capabilities into integrated outpatient care pathways, particularly for procedures that require imaging, laboratory testing, and other preoperative assessments. CMS specifically permits certain radiology services that are reasonable and necessary and integral to covered surgical procedures to be furnished in ASCs, demonstrating the role of diagnostic services within the ASC care model. The continued integration of diagnostic and surgical services is supporting streamlined patient pathways and enabling ASCs to manage more procedures within a coordinated outpatient setting.
Regional Insights
North America dominated the ambulatory surgery centers market with a revenue share of 41.2% in 2025, supported by its mature ASC infrastructure, established reimbursement framework, high surgical volumes, strong physician participation, and increasing migration of appropriate procedures from inpatient hospitals to outpatient settings. The U.S. remains the primary regional market, supported by a large base of Medicare-certified ASCs, extensive private healthcare networks, and continued investment in outpatient surgical capacity. In addition, the development of minimally invasive surgery, anesthesia, surgical robots, and enhanced recovery programs is enabling a wider variety of surgical procedures to be performed in ambulatory settings.
To learn more about this report, Download Free Sample Report U.S. Ambulatory Surgery Centers Market Trends
The ambulatory surgery centers market in the U.S. is supported by high utilization of ASC services and the established role of outpatient surgery within the Medicare system. For instance, MedPAC's March 2026 report showed that 6,436 ASCs provided care to 3.4 million fee-for-service Medicare beneficiaries and delivered 6.4 million surgical procedures in 2024, generating USD 7.5 billion in Medicare and beneficiary payments. This substantial utilization demonstrates the maturity of the U.S. ASC infrastructure and the large volume of surgical activity already shifting toward ambulatory settings.
Europe Ambulatory Surgery Centers Market Trends
The ambulatory surgery centers market in Europe is witnessing increasing adoption of ambulatory and day-case surgery as healthcare systems seek to reduce inpatient bed utilization, improve surgical productivity, address elective-care backlogs, and shorten hospital stays. National health systems are increasingly emphasizing the delivery of appropriate procedures through day-case and outpatient pathways, supported by minimally invasive techniques, enhanced recovery protocols, improved anesthesia, and better perioperative management. This shift is strengthening demand for dedicated ambulatory surgical infrastructure and specialized outpatient facilities across the region.
The UK ambulatory surgery centers market is supported by the NHS's increasing investment in dedicated elective surgical capacity and the shift toward day-case treatment. For instance, in October 2025, NHS England reported that 116 elective surgical hubs were operational across England, including 29 supported through the Targeted Investment Fund, with these hubs focused on high-volume, lower-complexity procedures such as cataract surgery and hip replacements. The expansion of surgical hubs has enhanced outpatient surgery provision and enabled the greater use of ambulatory surgery within the UK.
The ambulatory surgery centers market in Germany is supported by efforts to increase outpatient treatment and improve the efficiency of elective surgical care. Germany's healthcare system is increasingly emphasizing outpatient pathways for procedures that can be safely performed without prolonged hospitalization, supported by improvements in minimally invasive surgery, perioperative management, and specialized outpatient infrastructure. The increasing focus on shifting suitable procedures away from inpatient settings is supporting the development of ambulatory surgical capacity and strengthening demand for dedicated outpatient facilities.
Asia Pacific Ambulatory Surgery Centers Market Trends
The ambulatory surgery centers market in the Asia Pacific is expected to witness the fastest CAGR during the forecast period, driven by expanding healthcare infrastructure, increasing surgical volumes, rising healthcare expenditure, growing demand for cost-efficient treatment, medical tourism, and increasing adoption of minimally invasive procedures. Day-surgery facilities are also becoming more common throughout the region to increase hospital efficiency and reduce unnecessary admissions. The development of private healthcare institutions and surgical facilities also facilitates the establishment of ASCs.
China ambulatory surgery centers market is expanding as healthcare institutions increasingly adopt dedicated day-surgery models to improve surgical efficiency, shorten hospital stays, and optimize operating-room resources. For instance, in January 2025, IHH Healthcare announced plans to establish an 8,000-square-meter Parkway Shanghai ambulatory care center in downtown Shanghai, providing comprehensive outpatient and day-surgery services. The development directly expands dedicated ambulatory surgical infrastructure in China and supports the shift toward outpatient procedures within the country's private healthcare sector.
The ambulatory surgery centers market in India is supported by increasing demand for affordable and efficient surgical care, expansion of private healthcare infrastructure, and growing adoption of day-care surgery. The opportunity remains substantial as outpatient surgical models continue to develop across the country. For instance, in August 2025, a longitudinal study of day-care surgery in an Indian tertiary-care hospital highlighted the growing relevance of day-care procedures in India and assessed their feasibility, safety, clinical outcomes, and patient satisfaction. The continued clinical adoption and evaluation of day-care surgery are supporting greater acceptance of outpatient surgical pathways and creating opportunities for dedicated ambulatory facilities across high-volume specialties.
Latin America Ambulatory Surgery Centers Market Trends
The ambulatory surgery centers market in Latin America is expanding gradually as healthcare providers seek to improve surgical access, reduce inpatient resource utilization, and increase the efficiency of elective procedures. Growth is supported by rising healthcare expenditure, the expansion of private healthcare infrastructure, the increasing adoption of minimally invasive surgery, and the growing patient preference for shorter hospital stays. Brazil and Mexico represent important markets as healthcare providers increasingly incorporate day-hospital and outpatient surgical models into their care delivery systems.
Brazil ambulatory surgery centers market is supported by increasing utilization of day-hospital infrastructure and efforts to expand surgical capacity outside conventional inpatient settings. The adoption of specialized day-care facilities is particularly relevant for elective and lower-complexity procedures that are safely completed without prolonged hospitalization. Increasing investment in outpatient surgical infrastructure, combined with improvements in minimally invasive procedures and perioperative care, is supporting the gradual expansion of ambulatory surgical services across Brazil.
The Middle East & Africa Ambulatory Surgery Centers Market Trends
The ambulatory surgery centers market in MEA is developing as healthcare systems invest in modern surgical infrastructure, private healthcare facilities, specialized medical centers, and advanced medical technologies. Growth is particularly supported by healthcare modernization programs across the GCC countries, which are increasing demand for elective procedures, medical tourism, and the expansion of private-sector healthcare networks. The increasing adoption of minimally invasive procedures is also improving the suitability of more surgical interventions for outpatient treatment.
The UAE ambulatory surgery centers market is supported by advanced healthcare infrastructure, private-sector investment, medical tourism, and increasing demand for specialized outpatient procedures. The country continues to develop dedicated day-surgery and ambulatory facilities as healthcare providers seek to improve surgical throughput and provide patients with shorter, more efficient treatment pathways. In addition, with healthcare infrastructure modernization, improved surgical technology, and increased capacity in the private healthcare sector, the development of ambulatory surgery in the UAE remains possible.
Key Ambulatory Surgery Centers Company Insights
The market players are focusing on devising innovative business growth strategies, including product portfolio expansions, partnerships & collaborations, mergers & acquisitions, and business footprint expansions.
Key Ambulatory Surgery Centers Companies
The following key companies have been profiled for this study on the ambulatory surgery centers market:
-
CHSPSC, LLC.
-
Edward-Elmhurst Health(Endeavor Health)
-
MedNation AG, Bonn
-
Envision
-
Healthway Medical Group
-
HCA Healthcare (C-HCA, Inc.)
-
Pediatrix Medical Group
-
Prospect Medical Holdings, Inc.
-
SurgCenter
-
Surgery Partners
-
Tenet Health (TH Medical)
-
UNITEDHEALTH GROUP
Market Participant Categorization
Category
Operating Strategies
Competitive Edge
Weakness
Established Players (e.g., Tenet Healthcare Corporation, HCA Healthcare, Surgery Partners, UnitedHealth Group, Envision Healthcare Corporation, CHSPSC, LLC., Edward-Elmhurst Health)
Invest in expanding ASC networks through facility development, acquisitions, physician joint ventures, and hospital partnerships. Focus on multi-specialty and specialty-focused surgical centers, while integrating ASCs with broader healthcare delivery networks, payer relationships, physician services, and value-based care models. Established players also emphasize operational efficiency, standardized clinical protocols, technology integration, and expansion into high-demand outpatient procedures.
Large ASC networks, strong healthcare infrastructure, established physician and hospital relationships, extensive geographic reach, recognized brands, significant financial resources, and operational expertise. Large operators leverage scale to improve purchasing, staffing, facility utilization, payer negotiations, and clinical support. For example, Tenet's USPI is one of the largest ASC platforms, while HCA's Surgery Ventures operates and jointly owns approximately 150 surgery and endoscopy centers.
High capital and operating costs associated with maintaining large ASC networks, surgical equipment, specialized staff, and regulatory compliance. Large organizations have complex organizational structures, which make localized decision-making and rapid customization more difficult. Dependence on physician partnerships, reimbursement policies, staffing availability, and competition for high-volume surgical specialties also constrain expansion.
Emerging Players (e.g., Healthway Medical Group, Eifelhöhen-Klinik AG, Pediatrix Medical Group, Prospect Medical Holdings, Inc., SurgCenter Development)
Focus on specialty-oriented outpatient surgery, targeted geographic expansion, physician partnerships, facility development, and localized patient services. These players strengthen their market position by developing or managing specialized centers, expanding outpatient capabilities, partnering with physicians and health systems, and focusing on selected surgical specialties or underserved markets.
Greater flexibility, specialized service offerings, localized market knowledge, physician alignment, and faster decision-making. Smaller or more specialized operators adapt ASC services to specific physician groups, surgical specialties, and regional patient needs while pursuing focused expansion opportunities. SurgCenter Development, for example, specializes in developing ASC facilities and partnering with physicians, giving it a focused ASC operating model.
Smaller geographic footprints, lower financial resources, limited economies of scale, and comparatively lower brand recognition than large healthcare groups. Smaller operators also face challenges in recruiting specialized clinical staff, acquiring advanced surgical technology, negotiating with payers, and supporting multiple facilities across geographically dispersed markets.
Recent Developments
-
In June 2026, HST Pathways announced a strategic growth investment from Novo Holdings to accelerate its technology platform for ambulatory surgery centers, including AI-enabled products and agentic workflow capabilities designed to automate manual processes, identify operational risks, and improve ASC efficiency.
-
In March 2026, Watkins Mill Ambulatory Surgery Center opened in Gaithersburg, Maryland, adding a dedicated outpatient surgical facility focused on orthopedic procedures. The development expands specialty-focused ASC capacity and demonstrates continued investment in dedicated outpatient surgical infrastructure.
-
In February 2026, the Cleveland Clinic announced plans for a new outpatient center and ambulatory surgery center in Palm Beach County, Florida, with site preparation scheduled for 2026 and the ambulatory facilities set to open in 2027.
-
In June 2025, Johnson Memorial Hospital opened a new 42,000-square-foot ambulatory care center in Enfield, Connecticut, featuring four operating rooms, two procedure rooms, and 20 pre- and post-operative bays. The facility expands outpatient surgical capacity and demonstrates the health system's investment in centralized ambulatory infrastructure.
-
In February 2024, Surgery Partners entered into a joint venture with Parkview Health to develop ambulatory surgery centers across Indiana, marking an expansion of its ASC presence through a health-system partnership. The agreement demonstrates the continued use of joint-venture models to develop new outpatient surgical capacity and expand ASC networks.
Ambulatory Surgery Centers Market Report Scope
Report Attribute
Details
Market size in 2025
USD 151.5 billion
Estimated market size in 2026
USD 160.7 billion
Projected market size by 2033
USD 249.3 billion
Growth rate
CAGR of 6.5% from 2026 to 2033
Actual data
2021 - 2025
Forecast data
2026 - 2033
Quantitative units
Revenue in USD billion, and CAGR from 2026 to 2033
Report coverage
Revenue forecast, company ranking, competitive landscape, growth factors, and trends
Segments covered
Specialty, ownership, type, services, region
Regional scope
North America; Europe; Asia Pacific; Latin America; MEA
Country scope
U.S.; Canada; Mexico; UK; Germany; France; Italy; Spain; Denmark; Norway; Sweden; China; India; Japan; Australia; Thailand; South Korea; Brazil; Argentina; South Africa; Saudi Arabia; UAE; Kuwait
Key companies profiled
CHSPSC, LLC.; Edward-Elmhurst Health (Endeavor Health); MedNation AG, Bonn; Envision; Healthway Medical Group; HCA Healthcare (C-HCA, Inc.); Pediatrix Medical Group; Prospect Medical Holdings, Inc.; SurgCenter; Surgery Partners; Tenet Health (TH Medical); UNITEDHEALTH GROUP
Customization scope
Free report customization (equivalent up to 8 analysts working days) with purchase. Addition or alteration to country, regional & segment scope.
Pricing and purchase options
Avail customized purchase options to meet your exact research needs. Explore purchase options
Global Ambulatory Surgery Centers Market Report Segmentation
This report forecasts revenue growth at global, regional, and country levels and provides an analysis of industry trends in each of the segments from 2021 to 2033. For this study, Grand View Research, Inc. has segmented the ambulatory surgery centers market report based on specialty, ownership, type, services, and region:
-
Specialty Outlook (Revenue, USD Billion, 2021 - 2033)
-
Orthopedics
-
Pain Management/Spinal Injections
-
Gastroenterology
-
Ophthalmology
-
Plastic Surgery
-
Otolaryngology
-
Obstetrics/Gynecology
-
Dental
-
Podiatry
-
Other Specialty
-
-
Ownership Outlook (Revenue, USD Billion, 2021 - 2033)
-
Physician Owned
-
Hospital Owned
-
Corporate Owned
-
-
Type Outlook (Revenue, USD Billion, 2021 - 2033)
-
Single-Specialty
-
Multi-Specialty
-
-
Services Outlook (Revenue, USD Billion, 2021 - 2033)
-
Diagnosis
-
Treatment
-
-
Regional Outlook (Revenue, USD Billion, 2021 - 2033)
-
North America
-
U.S.
-
Canada
-
Mexico
-
-
Europe
-
UK
-
Germany
-
France
-
Italy
-
Spain
-
Sweden
-
Denmark
-
Norway
-
-
Asia Pacific
-
China
-
India
-
Japan
-
Australia
-
South Korea
-
Thailand
-
-
Latin America
-
Brazil
-
Argentina
-
-
MEA
-
South Africa
-
Saudi Arabia
-
Kuwait
-
UAE
-
-
Research Methodology
The ambulatory surgery centers market figures in this report are based on a proven research process that combines executive interviews with secondary research from proprietary databases, company filings, and recognized regulatory and institutional sources. Market size is built through value-chain sizing-reconciling supply-side and demand-side estimates-and triangulated with bottom-up and top-down approaches. Every estimate passes multiple levels of expert validation before publication, with each ambulatory surgery centers segment quantified using the revenue-capture definitions in the table below.
Segment Definition
Segment - specialty
Revenue capture definition
Orthopedics
Orthopedic ASCs specialize in outpatient procedures involving bones, joints, ligaments, and muscles, including arthroscopy, joint replacement, and fracture repair. These centers focus on minimally invasive orthopedic surgeries with same-day discharge.
Pain Management/Spinal injections
These ASCs provide interventional pain management procedures such as epidural steroid injections, nerve blocks, radiofrequency ablation, and spinal injections. They primarily treat chronic musculoskeletal and neuropathic pain without requiring inpatient admission.
Gastroenterology
Gastrointestinal diagnostic and therapeutic procedures are performed in ASCs, primarily involving minimally invasive endoscopic examination and treatment of the digestive tract. Common procedures include colonoscopy, upper gastrointestinal endoscopy, polyp removal, biopsy, and related interventions.
Ophthalmology
Ophthalmology ASCs specialize in outpatient eye surgeries such as cataract removal, glaucoma procedures, retinal treatments, and refractive surgeries. They offer advanced microsurgical interventions with rapid patient recovery.
Plastic Surgery
Plastic surgery ASCs provide reconstructive and cosmetic surgical procedures, including breast surgery, liposuction, rhinoplasty, and facial rejuvenation. These centers emphasize minimally invasive techniques and same-day patient discharge.
Otolaryngology
Otolaryngology ASCs perform surgical procedures involving the ear, nose, and throat (ENT), including tonsillectomy, sinus surgery, nasal reconstruction, and ear procedures. These facilities are designed to manage ENT conditions requiring outpatient surgical intervention.
Obstetrics/Gynecology
Obstetrics and gynecology ASCs offer minimally invasive procedures related to women's reproductive health, including hysteroscopy, dilation and curettage (D&C), endometrial ablation, and laparoscopic gynecological surgeries.
Dental
Dental ASCs provide outpatient oral and maxillofacial surgical procedures, including wisdom tooth extraction, dental implant placement, jaw reconstruction, and corrective oral surgeries under anesthesia.
Podiatry
Podiatry ASCs specialize in the diagnosis and surgical treatment of foot and ankle disorders, including bunion correction, tendon repair, fracture management, and diabetic foot procedures.
Other Specialty
This segment includes outpatient surgical specialties such as urology, dermatology, vascular surgery, general surgery, and other minimally invasive procedures performed in ambulatory settings.
By ownership
Revenue capture definition
Physician Owned
Physician-owned ASCs are established and operated by one or more physicians who oversee clinical services and business operations. These facilities emphasize efficient patient care while allowing physicians greater control over surgical practices.
Hospital Owned
Hospital-owned ASCs are outpatient surgical facilities owned and managed by hospitals or integrated health systems. They extend hospital surgical services into lower-cost outpatient settings while maintaining continuity of care.
Corporate Owned
Corporate-owned ASCs are operated by healthcare management companies or private equity-backed organizations that manage multiple outpatient surgical facilities. They focus on operational efficiency, standardized care delivery, and network expansion.
By Type
Revenue capture definition
Single-Specialty
Single-specialty ASCs focus exclusively on one medical specialty, such as ophthalmology or orthopedics, allowing specialized clinical expertise and streamlined surgical workflows.
Multi-Specialty
Multi-specialty ASCs provide surgical services across multiple specialties within a single facility. This model improves resource utilization while offering patients access to a broader range of outpatient procedures.
Services -
Revenue capture definition
Diagnosis
Diagnostic services include outpatient procedures used to identify or evaluate medical conditions, such as endoscopy, colonoscopy, biopsy, imaging-guided procedures, and diagnostic arthroscopy.
Treatment
Treatment services comprise minimally invasive surgical and therapeutic procedures performed to manage or correct medical conditions, enabling patients to receive same-day surgical care with reduced recovery time.
Estimation Model
Section
Key Summary
1.1 Research Approach
Hybrid research approach combining secondary and primary research methodologies. Market assessment is based on ambulatory surgery center revenues, number of Medicare-certified and private ASCs, surgical procedure volumes, operating-room capacity, patient volumes, utilization rates, average revenue per procedure, reimbursement levels, specialty mix, ownership structure, and geographic distribution. Insights from ASC operators, hospitals and health systems, physician groups, ASC management companies, medical device and equipment manufacturers, distributors, payers, healthcare providers, and industry experts are used to validate market estimates.
1.2 Market Estimation Framework
Market size is estimated using three approaches: (1) ASC facility and procedure volume model, (2) patient volume and revenue-per-procedure model, and (3) key operator revenue validation model. These approaches are triangulated to determine the overall market size and forecast projections.
1.2.1 Demand Model
Estimates market demand based on the number of ambulatory surgery centers, surgical procedures performed in ASCs, patient volumes, operating-room capacity, operating-room utilization, specialty mix, outpatient procedure migration, physician participation, hospital-to-ASC procedure shifts, and demand across orthopedics, ophthalmology, otolaryngology, gastroenterology, pain management, general surgery, and other high-volume specialties.
1.2.2 Revenue Model
Market value is calculated based on ASC procedure volumes, average revenue per procedure, reimbursement rates, facility fees, physician-related revenues where applicable, specialty-specific procedure mix, operating-room utilization, patient volumes, and revenue generated across treatment and diagnostic services. Variations across single-specialty and multi-specialty centers, ownership models, geographic markets, and procedure categories are also considered.
1.2.3 Vendor Model
Market estimates are validated using revenues and operating activities of key ASC operators and management companies, number of ASC facilities, operating-room capacity, procedure volumes, facility additions, acquisitions, joint ventures, strategic partnerships, geographic expansion, new center development, and financial disclosures of leading market participants.
1.3 Forecast Development
Forecast projections are developed by analyzing the migration of surgical procedures from inpatient hospitals to outpatient settings, increasing demand for cost-efficient surgical care, expansion of ASC networks, rising surgical procedure volumes, growth in minimally invasive procedures, increasing physician participation, hospital and health-system investment in ASCs, advancements in surgical technologies and anesthesia, improvements in postoperative recovery, favorable reimbursement policies, and increasing adoption of specialized outpatient surgical facilities.
1.4 Segmentation Method
Market segmentation is determined using weighted analysis of ASC procedure volumes, patient volumes, operating-room utilization, specialty mix, ownership structure, ASC type, service mix, reimbursement levels, physician participation, facility capacity, procedure migration from inpatient settings, healthcare infrastructure, and regional adoption of ambulatory surgical care.
1.5 Scope & Assumptions
Market is measured in USD based on revenues generated from ambulatory surgery center services and associated facility-based surgical activities. Estimates incorporate ASC procedure volumes, patient volumes, average revenue per procedure, facility fees, reimbursement rates, operating-room capacity and utilization, specialty mix, treatment and diagnostic services, ASC ownership models, single- and multi-specialty facilities, facility additions and expansions, and regional variations in outpatient surgery adoption and healthcare infrastructure.
Delivered Customizations
This report has been delivered with the following In-depth customizations
Client Request
Customization Delivered
Value Adds
ASC Procedure Volume Analysis by Specialty
Developed a comprehensive analysis of ambulatory surgery center procedure volumes segmented by orthopedics, gastroenterology, ophthalmology, pain management, ENT, obstetrics & gynecology, dental, podiatry, plastic surgery, and other specialties. The study evaluates annual procedure volumes, specialty-wise utilization, patient mix, reimbursement trends, and regional demand patterns.
Enables stakeholders to identify high-growth specialties, optimize operating room utilization, improve resource allocation, prioritize specialty expansion, and enhance revenue generation across ASC networks.
Patient Journey & Outpatient Surgery Pathway Analysis
Conducted a patient-centric assessment covering pre-operative consultation, diagnosis, surgical scheduling, outpatient procedure, post-anesthesia recovery, discharge, and follow-up care. The study evaluates patient flow, treatment timelines, care coordination, patient satisfaction, readmission trends, and clinical outcomes across ambulatory surgery centers.
Provides actionable insights to improve patient experience, reduce procedure turnaround times, enhance operational efficiency, strengthen care coordination, and improve clinical outcomes while minimizing readmissions.
Referral Network & ASC Catchment Area Analysis
Assessed referral sources, physician affiliations, hospital partnerships, payer networks, patient catchment areas, geographic accessibility, and regional demand for outpatient surgical services. The study identifies referral patterns and evaluates the competitive positioning of ASCs across key markets.
Helps optimize referral strategies, expand geographic coverage, identify underserved markets, strengthen physician and hospital partnerships, improve patient acquisition, and support strategic expansion decisions.
Frequently Asked Questions About This Report
Some key players operating in the ASCs market include CHSPSC, LLC.; Envision Healthcare Corporation; TH Medical; Pediatrix Medical Group.; UNITEDHEALTH GROUP.; Surgery Partners; Healthway Medical Group; SurgCenter; Prospect Medical Holdings, Inc.; Group Eifelhöhen-Klinik AG; Edward-Elmhurst Health; Nexus Day Surgery Centre
Key factors that are driving the ASCs market growth include increasing demand for minimally invasive surgeries, technological developments in surgical devices and equipment, and surgeons’ control over the choice of such equipment.
The global ambulatory surgery centers market size was valued at USD 151.5 billion in 2025 and is estimated at USD 160.7 billion for 2026.
The global ambulatory surgery centers market is expected to grow at a CAGR of6.5% from 2026 to 2033, reaching USD 249.3 billion by 2033.
North America dominated the ASCs market with a share of around 41.2% in 2025. This is attributable to increasing government funding to advance primary care services and rising coverage for outpatient services.
About the Author(s)
Medical Devices Research Team
Healthcare · Medical DevicesThis report was authored by the medical devices research team at Grand View Research - comprising two research analysts, one senior research analyst, and one industry expert - with specialized expertise in the medical devices segment of the healthcare industry. All findings are based on proprietary healthcare databases, executive interviews, and regulatory analysis, subject to internal peer review prior to publication.
Last Updated:
Speak to Analyst
Customize this report to your needs - add regions, segments, or data points, with 20% free customization.
Or view our licence options:
ISO 9001:2015 & 27001:2022 Certified
We are GDPR and CCPA compliant! Your transaction & personal information is safe and secure. For more details, please read our privacy policy.
